Circulating tight junction proteins mirror blood–brain barrier integrity in leukaemia central nervous system metastasis

The aim of this study was to evaluate the clinical significance of circulating tight junction (TJ) proteins as biomarkers reflecting of leukaemia central nervous system (CNS) metastasis. TJs [claudin5 (CLDN5), occludin (OCLN) and ZO‐1] concentrations were measured in serum and cerebrospinal fluid (C...

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Veröffentlicht in:Hematological oncology 2017-09, Vol.35 (3), p.365-373
Hauptverfasser: Zhu, Jing‐cheng, Si, Meng‐ya, Li, Ya‐zhen, Chen, Huan‐zhu, Fan, Zhi‐cheng, Xie, Qing‐dong, Jiao, Xiao‐yang
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container_issue 3
container_start_page 365
container_title Hematological oncology
container_volume 35
creator Zhu, Jing‐cheng
Si, Meng‐ya
Li, Ya‐zhen
Chen, Huan‐zhu
Fan, Zhi‐cheng
Xie, Qing‐dong
Jiao, Xiao‐yang
description The aim of this study was to evaluate the clinical significance of circulating tight junction (TJ) proteins as biomarkers reflecting of leukaemia central nervous system (CNS) metastasis. TJs [claudin5 (CLDN5), occludin (OCLN) and ZO‐1] concentrations were measured in serum and cerebrospinal fluid (CSF) samples obtained from 45 leukaemia patients. Serum ZO‐1 was significantly higher (p 
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TJs [claudin5 (CLDN5), occludin (OCLN) and ZO‐1] concentrations were measured in serum and cerebrospinal fluid (CSF) samples obtained from 45 leukaemia patients. Serum ZO‐1 was significantly higher (p &lt; 0.05), but CSF ZO‐1 levels were not significantly higher in the CNS leukaemia (CNSL) compared to the non‐CNSL. The CNSL patients also had a lower CLDN5/ZO1 ratio in both serum and CSF than in non‐CNSL patients (p &lt; 0.05). The TJ index was negatively associated with WBCCSF, ALBCSF and BBB values in leukaemia patients. Among all of the parameters studied, CLDN5CSF had the highest specificity in discriminating between CNSL and non‐CNSL patients. Therefore, analysing serum and CSF levels of CLDN5, OCLN and the CLDN5/ZO1 ratio is valuable in evaluating the potential of leukaemia CNS metastasis. Copyright © 2016 John Wiley &amp; Sons, Ltd.</description><identifier>ISSN: 0278-0232</identifier><identifier>EISSN: 1099-1069</identifier><identifier>DOI: 10.1002/hon.2289</identifier><identifier>PMID: 26999811</identifier><language>eng</language><publisher>England: Wiley Subscription Services, Inc</publisher><subject>Adolescent ; Adult ; Biomarkers ; Blood circulation ; Blood-brain barrier ; Blood-Brain Barrier - metabolism ; Blood-Brain Barrier - pathology ; Central nervous system ; Central Nervous System Neoplasms - diagnosis ; Central Nervous System Neoplasms - metabolism ; Central Nervous System Neoplasms - mortality ; Central Nervous System Neoplasms - secondary ; Cerebrospinal fluid ; Child ; Claudin-5 - blood ; Claudin-5 - cerebrospinal fluid ; claudin‐5 ; Female ; Humans ; leukaemia ; Leukemia ; Leukemia - pathology ; Male ; Metastases ; Metastasis ; Nervous system ; occludin ; Occludin - blood ; Occludin - cerebrospinal fluid ; Patient Outcome Assessment ; Patients ; Prognosis ; Proteins ; ROC Curve ; tight junction protein ; Tight Junction Proteins - blood ; Tight Junction Proteins - cerebrospinal fluid ; Young Adult ; Zonula occludens-1 protein ; Zonula Occludens-1 Protein - blood ; Zonula Occludens-1 Protein - cerebrospinal fluid ; ZO‐1</subject><ispartof>Hematological oncology, 2017-09, Vol.35 (3), p.365-373</ispartof><rights>Copyright © 2016 John Wiley &amp; Sons, Ltd.</rights><rights>Copyright © 2017 John Wiley &amp; Sons, Ltd.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3169-8d6c204a1c3c22f1927c37371d1e283362ccc51cac21daee84ae78b3cf751afc3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fhon.2289$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fhon.2289$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,777,781,1412,27905,27906,45555,45556</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26999811$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Zhu, Jing‐cheng</creatorcontrib><creatorcontrib>Si, Meng‐ya</creatorcontrib><creatorcontrib>Li, Ya‐zhen</creatorcontrib><creatorcontrib>Chen, Huan‐zhu</creatorcontrib><creatorcontrib>Fan, Zhi‐cheng</creatorcontrib><creatorcontrib>Xie, Qing‐dong</creatorcontrib><creatorcontrib>Jiao, Xiao‐yang</creatorcontrib><title>Circulating tight junction proteins mirror blood–brain barrier integrity in leukaemia central nervous system metastasis</title><title>Hematological oncology</title><addtitle>Hematol Oncol</addtitle><description>The aim of this study was to evaluate the clinical significance of circulating tight junction (TJ) proteins as biomarkers reflecting of leukaemia central nervous system (CNS) metastasis. TJs [claudin5 (CLDN5), occludin (OCLN) and ZO‐1] concentrations were measured in serum and cerebrospinal fluid (CSF) samples obtained from 45 leukaemia patients. Serum ZO‐1 was significantly higher (p &lt; 0.05), but CSF ZO‐1 levels were not significantly higher in the CNS leukaemia (CNSL) compared to the non‐CNSL. The CNSL patients also had a lower CLDN5/ZO1 ratio in both serum and CSF than in non‐CNSL patients (p &lt; 0.05). The TJ index was negatively associated with WBCCSF, ALBCSF and BBB values in leukaemia patients. Among all of the parameters studied, CLDN5CSF had the highest specificity in discriminating between CNSL and non‐CNSL patients. Therefore, analysing serum and CSF levels of CLDN5, OCLN and the CLDN5/ZO1 ratio is valuable in evaluating the potential of leukaemia CNS metastasis. 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TJs [claudin5 (CLDN5), occludin (OCLN) and ZO‐1] concentrations were measured in serum and cerebrospinal fluid (CSF) samples obtained from 45 leukaemia patients. Serum ZO‐1 was significantly higher (p &lt; 0.05), but CSF ZO‐1 levels were not significantly higher in the CNS leukaemia (CNSL) compared to the non‐CNSL. The CNSL patients also had a lower CLDN5/ZO1 ratio in both serum and CSF than in non‐CNSL patients (p &lt; 0.05). The TJ index was negatively associated with WBCCSF, ALBCSF and BBB values in leukaemia patients. Among all of the parameters studied, CLDN5CSF had the highest specificity in discriminating between CNSL and non‐CNSL patients. Therefore, analysing serum and CSF levels of CLDN5, OCLN and the CLDN5/ZO1 ratio is valuable in evaluating the potential of leukaemia CNS metastasis. Copyright © 2016 John Wiley &amp; Sons, Ltd.</abstract><cop>England</cop><pub>Wiley Subscription Services, Inc</pub><pmid>26999811</pmid><doi>10.1002/hon.2289</doi><tpages>9</tpages></addata></record>
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subjects Adolescent
Adult
Biomarkers
Blood circulation
Blood-brain barrier
Blood-Brain Barrier - metabolism
Blood-Brain Barrier - pathology
Central nervous system
Central Nervous System Neoplasms - diagnosis
Central Nervous System Neoplasms - metabolism
Central Nervous System Neoplasms - mortality
Central Nervous System Neoplasms - secondary
Cerebrospinal fluid
Child
Claudin-5 - blood
Claudin-5 - cerebrospinal fluid
claudin‐5
Female
Humans
leukaemia
Leukemia
Leukemia - pathology
Male
Metastases
Metastasis
Nervous system
occludin
Occludin - blood
Occludin - cerebrospinal fluid
Patient Outcome Assessment
Patients
Prognosis
Proteins
ROC Curve
tight junction protein
Tight Junction Proteins - blood
Tight Junction Proteins - cerebrospinal fluid
Young Adult
Zonula occludens-1 protein
Zonula Occludens-1 Protein - blood
Zonula Occludens-1 Protein - cerebrospinal fluid
ZO‐1
title Circulating tight junction proteins mirror blood–brain barrier integrity in leukaemia central nervous system metastasis
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